KELSEY MARIE JOHNSON (NPI# 1366940041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366940041 |
| Entity Type | Individual |
| Full Name | KELSEY MARIE JOHNSON |
| Credential | LCSW, MSW, ICDVP |
| Practice Address |
6105 S Kimbark Ave Apt 1s Chicago IL 60637-2850 |
| Practice Telephone | 8326418498 |
| Mailing Telephone | 8326418498 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.020055 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705490 | Kelsey Johnson | Student in an Organized Health Care Education/Training Program | 3919 E 181st St S, Bixby, OK 74008-5607 | 2020-09-18 |
| 1811516370 | Kelsey Alise Johnson | Behavior Technician | 201 Walden Dr, Fruitland, MD 21826-1331 | 2020-04-14 |
| 1669029567 | Kelsey Susanne Johnson | Physical Therapist | 2121 Fountain Dr Ste E, Snellville, GA 30078-2900 | 2019-08-25 |
| 1265912810 | Kelsey Kathleen Johnson | Massage Therapist | 1209 11th St Ste 3, Bellingham, WA 98225-7000 | 2018-08-14 |
| 1376037945 | Kelsey Mitchell Johnson | Student in an Organized Health Care Education/Training Program | 23924 Se 186th St, Maple Valley, WA 98038-7214 | 2018-06-18 |
| 1972985430 | Kelsey Johnson | Speech-Language Pathologist | 41769 Enterprise Cir N Ste 104&105, Temecula, CA 92590-5626 | 2015-06-22 |
| 1083022354 | Kelsey Kay Johnson | Dietitian, Registered | 673 Woodland Square Loop Se, Suite 330, Lacey, WA 98503-1066 | 2014-07-30 |
| 1811595093 | Kelsey Johnson | Occupational Therapy Assistant | 9109 Liberty Rd, Randallstown, MD 21133-3521 | 2020-10-11 |
| 1598362667 | Kelsey Alaina Johnson | Behavior Technician | 1167 W Baltimore Pike # 258, Media, PA 19063-5127 | 2020-10-02 |
| 1821601584 | Kelsey Johnson | Pharmacist | 2203 E Oakland Ave, Bloomington, IL 61701-5760 | 2020-08-24 |
| Street Address |
6105 S KIMBARK AVE APT 1S |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1164022422 | Brittany Lauren Gatchell | Social Worker | 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 | 2020-10-27 |
| 1467052803 | Seri Elaine Porter | Social Worker | 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 | 2020-10-26 |
| 1255930707 | Emily Ehrens | Social Worker | 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 | 2020-10-25 |
| 1316546955 | Yesenia Maldonado | Social Worker | 3922 N Sayre Ave, Chicago, IL 60634-2329 | 2020-10-24 |
| 1144829201 | Andrea Hohf, Mscd, Lcsw | Social Worker | 564 W Randolph St Ste 248, Chicago, IL 60661-2218 | 2020-10-20 |
| 1215536693 | Miracleworks Therapy & Consulting LLC | Social Worker | 2138 S Indiana Ave, Chicago, IL 60616-4930 | 2020-10-18 |
| 1104425552 | Fifth Star Collective, LLC | Social Worker | 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 | 2020-10-17 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on KELSEY MARIE JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.